On May 28, 2021 a
Miscellaneous
was filed
involving a dispute between
Tsyganov, Igor,
Tsyganov, Irina,
and
L. J. Ross Insurance Services, Inc.,
Ross, Larry J.,
for Neg - Business Tort
in the District Court of Broward County.
Preview
Filing # 127727818 E-Filed 05/28/2021 09:15:45 AM
FORM 1.997.
CIVIL COVER SHEET
The civil cover sheet and the informationcontained in it neither replace nor supplementthe filing
and service of pleadings or other documents as required by law. This form must be filed by the
plaintiff or petitionerwith the Clerk of Court for the purpose ofreportinguniform data pursuant
to section 25.075, Florida Statutes. (See instructions for completion.)
I.
CASE STYLE
IN THE CIRCUIT COURT OF THE SEVENTEENTH JUDICIAL CIRCUIT,
IN AND FOR BROWARD
COUNTY, FLORIDA
Igor Tsyganov, Irina Tsyganov
Plaintiff
Case #
Judge
VS.
L. J. Ross Insurance Services, Inc., Larry J Ross
Defendant
II.
AMOUNT OF CLAIM
Please indicate the estimated amount of the claim, roundedto the nearest dollar. The estimated amount of
the claim is requested for data collectionand clerical processing purposes only. The amount of the claim
shall not be used for any otherpurpose.
E $8,000 or less
El $8,001 - $30,000
El $30,001- $50,000
.U $50,001- $75,000
El $75,001 - $100,000
E over $100,000.00
III.
TYPE OF CASE
(Ifthe case fits more than one type of case, select the most
definitivecategory.) Ifthe most descriptive label is a subcategory (is indentedunder a broader
category), place an x on both the main categoryand subcategorylines.
-1-
*** FILED: BROWARDCOUNTY, FL BRENDA D. FORMAN, CLERK 05/28/2021 09:15:41 AM.****
CIRCUIT CIVIL
m Condominium
m Contracts and indebtedness
m Eminent domain
m Auto negligence
@ Negligence-other
m Business governance
@ Business torts
m Environmental/Toxic tort
m Third party indemnification
m Constructiondefect
m Mass tort
m Negligent security
m Nursing home negligence
m Premises
m Premises
m Products liability
m Real Property/Mortgageforeclosure
m Commercial foreclosure
m Homesteadresidential foreclosure
m Non-homestead residential foreclosure
m Other real property actions
El Professionalmalpractice
m
m Malpractice-medical
m Malpractice-otherprofessional
m Other
m Antitrust/Traderegulation
m Business transactions
m Constitutionalchallenge-statuteor ordinance
m Constitutionalchallenge-proposed amendment
m Corporate trusts
m
or other
m Insurance claims
m Intellectual property
m Libel/Slander
m Shareholder derivative action
m Securities litigation
m Trade secrets
m Trust litigation
COUNTY CIVIL
O Small Claims up to $8,000
O Civil
1 Real property/Mortgage foreclosure
-2-
O Replevins
0 Evictions
O ResidentialEvictions
0 Non-residential Evictions
El Other civil (non-monetary)
COMPLEX BUSINESS COURT
This action is appropriatefor assignmentto Complex Business Court as delineated and mandated by the
Administrative Order. Yes C] No E
IV.
REMEDIES SOUGHT (check all that apply):
@ Monetary;
m Nonmonetarydeclaratoryor injunctive relief;
E] Punitive
V.
NUMBER OF CAUSES OF ACTION: [ ]
(Specify)
4
VI.
IS THIS CASE A CLASS ACTION LAWSUIT?
0 yes
@ no
VII.
HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
@ no
O yes If"yes," list all related cases by name, case number, and court.
VIII.
IS JURY TRIAL DEMANDED IN COMPLAINT?
W yes
O no
I CERTIFY that the informationI have provided in this cover sheet is accurate to the best of
my knowledge and belief, and that I have read and will comply with the requirements of
Florida Rule of Judicial Administration2.425.
Signature: s/ Brian Joseph Holland
Fla. Bar # 1002252
Attorney or party
(Bar # ifattorney)
Brian JosephHolland
05/28/2021
(type or print name)
Date
-3-
Document Filed Date
May 28, 2021
Case Filing Date
May 28, 2021
Category
Neg - Business Tort
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